How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,023 to $7,079Professionalmedian $468 · 10th to 90th $135 to $724
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $724.44 Median $6,606.93 Typical High $16,595.87 | Facility | None | $724.44 | $6,606.93 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $724.44 Typical High $724.44 | Professional | None | $131.83 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,290.87 Typical High $7,079.46 | Facility | None | $1,380.38 | $2,290.87 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $436.52 | Professional | None | $138.04 | $208.93 | $436.52 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $724.44 Typical High $1,047.13 | Facility | None | $213.80 | $724.44 | $1,047.13 |
Moda Health Setting Professional Modifier None Typical Low $134.90 Median $549.54 Typical High $758.58 | Professional | None | $134.90 | $549.54 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,862.09 Typical High $2,137.96 | Facility | None | $1,122.02 | $1,862.09 | $2,137.96 |
Premera BCBS Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $2,238.72 Typical High $7,079.46 | Facility | None | $724.44 | $2,238.72 | $7,079.46 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $229.09 Typical High $407.38 | Professional | None | $60.26 | $229.09 | $407.38 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $3,162.28 Typical High $4,265.80 | Facility | None | $1,096.48 | $3,162.28 | $4,265.80 |
United Setting Professional Modifier None Typical Low $125.89 Median $371.54 Typical High $870.96 | Professional | None | $125.89 | $371.54 | $870.96 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $66.07 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $26.30 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $97.72 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $19.95 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $13.18 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $67.61 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $26.92 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $102.33 | $549.54 | $549.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $20.42 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $13.49 | $72.44 | $72.44 |
Where Alaska sits
The same service costs 5.4 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Alaska· 1st of 51
$537
AK $537UT $100
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.